Journal of pain and symptom management
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J Pain Symptom Manage · Aug 2021
Korean Version of the Patient Dignity Inventory: Translation and Validation in Patients with Advanced Cancer.
The goal of palliative care is to maximize the quality of life and thus maintain the dignity of patients facing problems associated with a life-threatening illness. The Patient Dignity Inventory (PDI) is an instrument used to measure various sources of distress that can impact patients' sense of dignity at the end of life. ⋯ Our findings indicate that the PDI-K is a valid and reliable instrument to measure dignity-related distress in patients with advanced cancer. This tool provides a four-factor Korean language alternative to the PDI.
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J Pain Symptom Manage · Aug 2021
Nurse Perspectives on Urinary Incontinence in the Home Hospice Setting.
To date, no studies have characterized the impacts of urinary incontinence (UI) at the end of life in the home hospice (HH) setting. UI is highly prevalent at the end of life and adversely affects quality of life. ⋯ UI is a prevalent and debilitating condition in HH patients. There is a need for studies to further characterize the impacts of UI on HH patients and their caregivers. Formal training on UI subtypes and management is needed to facilitate proper documentation, research, and improve patient outcomes.
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J Pain Symptom Manage · Aug 2021
End-of-life care in the time of COVID-19: Communication matters more than ever.
The COVID-19 pandemic resulted in visitation restrictions across most health care settings, necessitating the use of remote communication to facilitate communication among families, patients and health care teams. ⋯ Effective remote communication with the patient and the health care team was associated with significantly better ratings of the overall experience of end-of-life care by bereaved family members. Our findings offer timely insights into the importance of remote communication strategies.
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J Pain Symptom Manage · Aug 2021
Physicians' Perceptions and Suggestions for the Adaptation of a US-based Serious Illness Communication Training in a non-US Culture: A Qualitative Study.
US-based serious illness communication training pedagogy has not been well studied outside of the United States. ⋯ Our study found empirical evidence that the VitalTalk pedagogy is perceived to be novel and beneficial in a non-US cultural setting. Cultural adaptations in expression and response to emotion may be required to maximize its efficacy in Japan. To meet the needs of clinical practice in Japan, further studies are needed to empirically test the suggested refinements for the VitalTalk pedagogy.
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J Pain Symptom Manage · Aug 2021
The Development of Palliative Care in Colombia: An analysis of geographical inequalities through the application of international indicators.
The national evaluation of an individual country is a tool used to improve the universal provision of palliative care. The evaluation of a country's internal situation, by means of an analysis of the development of palliative care by region, may also be an instrument for improvement. ⋯ Regional palliative care development is unequal and unbalanced. Applying international indicators to levels of regional development allows for the identification of geographical inequalities and highlights low palliative care development, especially in the rural areas of the country.